scholarly journals Hubungan Prostate Volume dan Intravesical Prostatic Protrusion terhadap International Prostate Symptom Score pada Pasien Benign Prostate Hyperplasia (Relationship between Prostate Volume and Intravesical Prostatic Protrusion and International Prostate

2018 ◽  
Vol 6 (1) ◽  
pp. 97
Author(s):  
Rahma Illa Putri Utami ◽  
Septa Surya Wahyudi ◽  
Yuli Hermansyah

Diagnosis of benign prostate hyperplasia (BPH) can be established through transabdominal ultrasonography (TAUS), a noninvasive supportive examination which measure prostate volume (PV), and intravesical prostatic protrusion (IPP). The severity of obstructive symptoms experienced by the patient was assessed by international prostate symptom score (IPSS) questionnaire. This study aimed to analyse the relationship between both PV and IPP and IPSS in BPH patients. This was an observational analytic study with cross sectional design conducted at Department of Urology Surgery Bina Sehat Hospital Jember, Paru Hospital Jember and Bhayangkara Hospital Bondowoso during October-November 2016 in 30 respondents. The average of PV was 52.01±25.18 mL, IPP was 12.67±6.69 mm and IPSS score was 25.60±9.20. The results of Spearman correlation between the PV and Voiding-IPSS, Storage-IPSS, or total score IPSS and IPP and Voiding IPSS showed no significant correlation (p =0.319; p=0.067; p=0.085; p=0.183). Spearman correlation between the IPP and Storage-IPSS or total score IPSS resulted p value equal to 0.012 and r=0.451 and p=0.027 and r=0.404, which showed a significant correlation with moderate correlation strength. Statistically, IPP correlated to IPSS score better than PV.   Keywords: BPH, international prostate symptom score, transabdominal ultrasonography  

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Harrina Erlianti Rahardjo ◽  
Bayu Gemilang

Context: Intravesical prostatic protrusion (IPP) is a potential candidate for the initial evaluation of patients with lower urinary tract symptoms (LUTS). Intravesical prostatic protrusion is also known to predict the outcome of trials without a catheter and medical treatment outcomes and to determine bladder outlet obstructions. Objectives: This study aimed to determine whether IPP influences the residual LUTS after surgery in patients with benign prostate hyperplasia who have undergone prostate surgery. Evidence Acquisition: An online database search was conducted regarding the prognosis of postoperative benign prostate hyperplasia patients with intravesical prostatic protrusions. The selected databases comprised PubMed, ScienceDirect, EBSCO, and Cochrane Library. Randomized controlled trial, cohort, or case control studies that were written in English or Bahasa and published up until November 2020 were included. We reviewed postoperative outcomes, including subjective symptoms, based on the International Prostate Symptom Score and objective signs, such as Qmax and post voiding residue. Results: Our initial database search yielded 143 papers. After exclusion from abstract screening, seven papers were considered for full-text analysis. Five of these studies showed higher preoperative intravesical prostatic protrusion within successful postoperative outcomes. Some studies showed that patients with significant intravesical prostatic protrusions had more significant International Prostate Symptom Score decrements. However, two studies demonstrated that intravesical prostatic protrusion was not a significant prognostic factor. Conclusions: Most studies suggested that intravesical prostatic protrusion can predict better post-surgery lower urinary tract symptom outcomes. Further research using information about the risk of bias in ultrasound examination and more homogeneous surgical techniques and considering the duration of patients’ illness before they receive surgical management is needed.


2016 ◽  
Vol 23 (2) ◽  
Author(s):  
Yanuar Wicaksana Sumasta ◽  
Danarto Danarto

Objective: This study was to evaluate the associations among metabolic components, prostate specific antigen (PSA), and prostate volume (PV) in benign prostate hyperplasia (BPH) patients.Material & method: During the period from January 1, 2010 to August 31, 2013, 61 mens were diagnosed with BPH were enrolled. PV by transabdominal ultrasonography of the prostate, serum PSA, metabolic syndrome (MS) related parameters were investigated. MS was defined according to the modified National Cholesterol Education Program Third Adult Treatment Panel Guidelines. We evaluated the correlation between PSA, PV and MS components using Spearman’s test and Independent t test.Results: PV were not correlated with MS criteria (p=0.591) PSA total also were not correlated with MS criteria (p=0.305). PV were not correlated with each components MS; cholesterol total (p=0.593), trigliserid (p=0.479), HDL (p=0.702), LDL (p=0.512), blood glucose (p=0.317). PSA total were not correlated with each components MS; cholesterol total (p=0.255), trigliserid (p=0.543), HDL (p=0.446), LDL (p=0.615), blood glucose (p=0.987). Conclusion: There were no associations among metabolic syndrome criteria and each components, prostate volume and PSA total.


2021 ◽  
Vol 7 (1) ◽  
pp. 28-37
Author(s):  
Rusliyawati Rusliyawati ◽  
Kurnia Muludi ◽  
Agus Wantoro ◽  
Dimas Aminudin Saputra

Benign Prostat Hyperplasia (BPH) merupakan pembesaran dari kelenjar prostat jinak yang umum dialami oleh pria lanjut usia yang memiki populasi sekitar 8% pada dekade ke 4 dan mengalami peningkatan hingga 90% dalam dekade ke 9. Pasien yang mengalami gangguan kesehatan perlu dilakukan pemeriksaan dini untuk segera mendapatkan kepastian penyakit dan segera mendapatkan pengobatan. Proses pemeriksaan untuk menentukan sejauh mana gejala yang dialami penderita menggunakan metode International Prostate Symptom Score (IPSS). Proses pemeriksaan tahap awal pasien masih dilakukan secara manual dengan melakukan tanya jawab antara dokter dengan pasien atau disebut dengan anamnesis. Anamnesis dilakukan untuk mendapatkan data tentang riwayat penyakit penderita yang pada umumnya dilakukan di rumah sakit atau puskesmas, hal tersebut berdampak kepada penderita yang merasa sensitif jika ditanyakan mengenai pertanyaan yang bersifat pribadi dan keterbatasan waktu dalam berfikir untuk menjawab pertanyaan-pertanyaan, oleh karena itu perlu dibangun sebuah sistem untuk memberikan solusi dari permasalahan tersebut berupa Sistem Informasi E-Screening untuk menentukan Gejala Benign Prostate Hyperplasia berbasis mobile yang dapat digunakan untuk masyarakat dalam melakukan pemeriksaan untuk mengetahui informasi penyakit yang diderita dan tingkat keparahan. Sistem yang dikembangkan telah dilakukan evaluasi menggunakan tabel confusion matrix. Hasil perhitungan diperoleh nilai accuracy 100%, nilai precision 100% dan nilai recall 100%


2017 ◽  
Vol 89 (1) ◽  
pp. 26 ◽  
Author(s):  
Levent Ozcan ◽  
Huseyin Besiroglu ◽  
Murat Dursun ◽  
Emre Can Polat ◽  
Alper Otunctemur ◽  
...  

Objective: We evaluated the correlation between benign prostate hyperplasia (BPH) measures and diabetes mellitus in men with benign prostate hyperplasia in a prospective study. Materials and methods: Between 2008-2012, 100 diabetic and 200 non diabetic patients undergoing surgery due to benign prostate hyperplasia were enrolled in the study. The parameters evaluated for each patients included prostate volume, fasting blood glucose, HbA1c, total testosterone, total prostatic specific antigen (T-PSA), triglicerides, total cholesterol and body mass index (BMI). A questionnaire including international prostate symptom score (IPSS) was sdministered and uroflow test measuring the peak urinary flow rate was performed to appreciate the complaints of the patients objectively. Results: Diabetic patients are more likely to have larger prostate volume. The symptom score evaluated by IPSS and post micturition residual volume were also significantly higher in diabetic groups. The other statistically significant different parameter between two groups was total testosterone that diabetic patients tend to have lower levels. Diabetic counterparts were established to have higher BMI. No statistically significant differentiation was observed about trigliceryde and total cholesterol levels and uroflow rates. Conclusions: Our study suggests a positive correlation between high prostate volume and diagnosis of diabetes mellitus in patients with benign prostatic hyperplasia. We also observed a positive correlation between symptom scores and post micturion residual volumes and diagnosis of diabetes mellitus suggesting that the presence of diabetes is related to both static and dynamic components of benign prostate hyperplasia. Additionally testosterone levels were lower in diabetic patients. Further studies need to confirm these relationship in a larger population.


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